| NPI | 1023436359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.146748) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 65089-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-04-15 |